Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $33.72 / $72.00	Professional		$10.00	$33.72	$72.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $140.71 / $140.71 / $140.71	Professional	25	$140.71	$140.71	$140.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $23.94 / $45.86	Professional		$19.02	$23.94	$45.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $46.46 / $54.16	Professional		$42.15	$46.46	$54.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $38.46 / $38.46	Professional		$38.46	$38.46	$38.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $24.79 / $52.82	Professional		$13.49	$24.79	$52.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $49.80 / $85.00	Professional		$19.23	$49.80	$85.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $38.46 / $38.46	Professional		$38.46	$38.46	$38.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $48.91 / $67.06	Professional		$29.31	$48.91	$67.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $19.79 / $46.46	Professional		$19.79	$19.79	$46.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $71.44 / $71.44	Professional		$25.69	$71.44	$71.44
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $24.56 / $44.62	Professional		$13.49	$24.56	$44.62